Is 24/7 In-House Intensivist Staffing Necessary in the Intensive Care Unit?
By: Faisal Masud, Tina Yaqing Cai Lam and Sahar Fatima
References
- Kelley MA. Critical care medicine–a new specialty? N Engl J Med. 1988 Jun 16; 318 24: 1613– 7.
- Li TC , Phillips MC , Shaw L , Cook EF , Natanson C , Goldman L. On-site physician staffing in a community hospital intensive care unit. Impact on test and procedure use and on patient outcome. JAMA. 1984 Oct 19; 252 15: 2023– 7.
- Carson SS , Stocking C , Podsadecki T , Effects of organizational change in the medical intensive care unit of a teaching hospital: a comparison of ‘open’ and ‘closed’ formats. JAMA. 1996 Jul 24–31; 276 4: 322– 8.
- Multz AS , Chalfin DB , Samson IM , A “closed” medical intensive care unit (MICU) improves resource utilization when compared with an “open” MICU. Am J Respir Crit Care Med. 1998 May; 157 5 Pt 1: 1468– 73.
- Ghorra S , Reinert SE , Cioffi W , Buczko G , Simms HH. Analysis of the effect of conversion from open to closed surgical intensive care unit. Ann Surg. 1999 Feb; 229 2: 163– 71.
- Halpern NA , Pastores SM , Greenstein RJ. Critical care medicine in the United States 1985–2000: an analysis of bed numbers, use, and costs. Crit Care Med. 2004 Jun; 32 6: 1254– 9.
- Halpern NA Pastores SM. Critical Care Medicine Beds, Use, Occupancy, and Costs in the United States: A Methodological Review. Crit Care Med. 2015 Nov; 43 11: 2452– 9.
- Reynolds HN , Haupt MT , Thill-Baharozian MC , Carlson RW. Impact of critical care physician staffing on patients with septic shock in a university hospital medical intensive care unit. JAMA. 1988 Dec 16; 260 23: 3446– 50.
- Pronovost PJ , Angus DC , Dorman T , Robinson KA , Dremsizov TT , Young TL. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA. 2002 Nov 6; 288 17: 2151– 62.
- Hawari FI , Al Najjar TI , Zaru L , Al Fayoumee W , Salah SH , Mukhaimar MZ. The effect of implementing high-intensity intensive care unit staffing model on outcome of critically ill oncology patients. Crit Care Med. 2009 Jun; 37 6: 1967– 71.
- Treggiari MM , Martin DP , Yanez ND , Caldwell E , Hudson LD , Rubenfeld GD. Effect of intensive care unit organizational model and structure on outcomes in patients with acute lung injury. Am J Respir Crit Care Med. 2007 Oct 1; 176 7: 685– 90.
- Kahn JM , Brake H , Steinberg KP. Intensivist physician staffing and the process of care in academic medical centres. Qual Saf Health Care. 2007 Oct; 16 5: 329– 33.
- Parikh A , Huang SA , Murthy P , Quality improvement and cost savings after implementation of the Leapfrog intensive care unit physician staffing standard at a community teaching hospital. Crit Care Med. 2012 Oct; 40 10: 2754– 9.
- Blunt MC Burchett KR. Out-of-hours consultant cover and case-mix-adjusted mortality in intensive care. Lancet. 2000 Aug 26; 356 9231: 735– 6.
- Gajic O , Afessa B , Hanson AC , Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital. Crit Care Med. 2008 Jan; 36 1: 36– 44.
- Wallace DJ , Angus DC , Barnato AE , Kramer AA , Kahn JM. Nighttime intensivist staffing and mortality among critically ill patients. N Engl J Med. 2012 May 31; 366 22: 2093– 101.
- Burnham EL , Moss M , Geraci MW. The case for 24/7 in-house intensivist coverage. Am J Respir Crit Care Med. 2010 Jun 1; 181 11: 1159– 60.
- Sabov M Daniels CE. The Value of 24/7 In-House ICU Staffing 24/7 Intensivist in the ICU. Crit Care Med. 2018 Jan; 46 1: 149– 151.
- Banerjee R , Naessens JM , Seferian EG , Economic implications of nighttime attending intensivist coverage in a medical intensive care unit. Crit Care Med. 2011 Jun; 39 6: 1257– 62.
- Kumar K , Zarychanski R , Bell DD , .; Cardiovascular Health Research in Manitoba Investigator Group Impact of 24-hour in-house intensivists on a dedicated cardiac surgery intensive care unit. Ann Thorac Surg. 2009 Oct; 88 4: 1153– 61.
- Benoit MA , Bagshaw SM , Norris CM , Postoperative Complications and Outcomes Associated With a Transition to 24/7 Intensivist Management of Cardiac Surgery Patients. Crit Care Med. 2017 Jun; 45 6: 993– 1000.
- Kumar K , Singal R , Manji RA , .; Cardiovascular Health Research in Manitoba Investigator Group The benefits of 24/7 in-house intensivist coverage for prolonged-stay cardiac surgery patients. J Thorac Cardiovasc Surg. 2014 Jul; 148 1: 290– 297.e6.
- The Leapfrog Group [Internet]. Washington, D.C.: The Leapfrog Group for Patient Safety; c2018. Fact sheet: ICU physician staffing; 2016 Apr 1 [cited 2018 Mar 2]. Available at http://www.leapfroggroup.org/sites/default/files/Files/IPS%20Fact%20Sheet.pdf.
- Gasperino J. The Leapfrog initiative for intensive care unit physician staffing and its impact on intensive care unit performance: a narrative review. Health Policy. 2011 Oct; 102 2–3: 223– 8.
- Manthous CA. Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century. Am J Med. 2004 Feb 1; 116 3: 188– 93.
- Angus DC , Shorr AF , White A , Dremsizov TT , Schmitz RJ , Kelley MA ; Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS). Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med. 2006 Apr; 34 4: 1016– 24.
- Pronovost P , Thompson DA , Holzmueller CG , Dorman T , Morlock LL. Impact of the Leapfrog Group's intensive care unit physician staffing standard. J Crit Care. 2007 Jun; 22 2: 89– 96.
- Kahn JM Hall JB. More doctors to the rescue in the intensive care unit: a cautionary note. Am J Respir Crit Care Med. 2010 Jun 1; 181 11: 1160– 1.
- Vincent JL. Need for intensivists in intensive-care units. Lancet. 2000 Aug 26; 356 9231: 695– 6.
- Galloway M , Hegarty A , McGill S , Arulkumaran N , Brett SJ , Harrison D. The Effect of ICU Out-of-Hours Admission on Mortality: A Systematic Review and Meta-Analysis. Crit Care Med. 2018 Feb; 46 2: 290– 9.
- Bell CM Redelmeier DA. Mortality among patients admitted to hospitals on weekends as compared with weekdays. N Engl J Med. 2001 Aug 30; 345 9: 663– 8.
- Cram P , Hillis SL , Barnett M , Rosenthal GE. Effects of weekend admission and hospital teaching status on in-hospital mortality. Am J Med. 2004 Aug 1; 117 3: 151– 7.
- Barnett MJ , Kaboli PJ , Sirio CA , Rosenthal GE. Day of the week of intensive care admission and patient outcomes: a multisite regional evaluation. Med Care. 2002 Jun; 40 6: 530– 9.
- Haupt MT , Bekes CE , Brilli RJ , .; Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine Guidelines on critical care services and personnel: Recommendations based on a system of categorization of three levels of care. Crit Care Med. 2003 Nov; 31 11: 2677– 83.
- Pronovost PJ , Needham DM , Waters H , Intensive care unit physician staffing: financial modeling of the Leapfrog standard. Crit Care Med. 2006 Mar; 34 3 Suppl: S18– 24.
- The Lewin Group/Health Resources and Services Administration. Report to Congress: The Critical Care Workforce: A Study of the Supply and Demand for Critical Care Physicians. Nashville (TN): U.S. Department of Health and Human Services. Senate Report 108-81, Senate Report 109-103, and House Report 109-143 [cited 2018 Mar 1]. Available from: http://www.mc.vanderbilt.edu/documents/CAPNAH/files/criticalcare.pdf.
- Kleinpell RM , Ely EW , Grabenkort R. Nurse practitioners and physician assistants in the intensive care unit: an evidence-based review. Crit Care Med. 2008 Oct; 36 10: 2888– 97.
- Gordon CR , Axelrad A , Alexander JB , Dellinger RP , Ross SE. Care of critically ill surgical patients using the 80-hour Accreditation Council of Graduate Medical Education work-week guidelines: a survey of current strategies. Am Surg. 2006 Jun; 72 6: 497– 9.
- Trombley MJ , Hassol A , Lloyd JT , The Impact of Enhanced Critical Care Training and 24/7 (Tele-ICU) Support on Medicare Spending and Postdischarge Utilization Patterns. Health Serv Res. 2017 Dec 27.
- Venkataraman R Ramakrishnan N. Outcomes related to telemedicine in the intensive care unit: what we know and would like to know. Crit Care Clin. 2015 Apr; 31 2: 225– 37.
- Rosenfeld BA , Dorman T , Breslow MJ , Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care. Crit Care Med. 2000 Dec; 28 12: 3925– 31.
- Masud F , Samir H , Krinocj S , Implementation of sepsis bundles for severe sepsis/septic shock patients in surgical ICUs can improve outcomes. Crit Care Med. 2007; 35 12: A274.
-
Ratnani
I
,
Masud
F
,
Fetter
JE.
Multidisciplinary quality improvement team when empowered can reduce mortality in an extremely high risk patient population requiring ECMO.
ePoster presented online at: Critical Care Canada Forum 2016;
2016 Oct 31–Nov 2 ; Toronto, Canada. -
Gotur
D
,
Masud
F
,
Halfon
R
,
Patrick
B.
Quality initiatives to improve sepsis mortality in a tertiary hospital: an 8-year outcomes measure.
Paper presented at: 47th Critical Care Congress. The Society of Critical Care Medicine;
2018 Feb 25–28 : San Antonio, TX. - Masud F. Improving outcomes in severe sepsis/septic shock patients as an institutional priority. Am J Med Qual. 2009 Mar; 24 2: 33s.
-
Masud
F
,
Disbot
M
,
Connell
J.
Sepsis screening and treatment – a quality improvement continuum.
Paper presented at: International Forum on Quality and Safety in Healthcare;
2015 Apr 21–24 ; London, UK.
DOI: https://doi.org/10.14797/mdcj-14-2-134 | Journal eISSN: 1947-6108
Language: English
Page range: 134 - 140
Published on: Apr 1, 2018
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services
Keywords:
© 2018 Faisal Masud, Tina Yaqing Cai Lam, Sahar Fatima, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.